时效性激励护理对脑梗塞患者负性情绪、创伤后成长和神经功能恢复的影响  

Effect of timeliness incentive nursing on negative emotion,post-traumatic growth and neurological function recovery in patients with cerebral infarction

作　　者：师俊明 张燕 李翠芳 秦岚[1] SHI Jun-ming;ZHANG Yan;LI Cui-fang;QIN Lan(Department of Emergency,Beijing Friendship Hospital,Capital Medical University,Beijing 101100,China)

机构地区：[1]首都医科大学附属北京友谊医院急诊科,北京101100

出　　处：《川北医学院学报》2024年第2期280-284,共5页Journal of North Sichuan Medical College

摘　　要：目的:探讨时效性激励护理对脑梗塞患者负性情绪、创伤后成长和神经功能恢复的影响。方法:选取116例脑梗塞患者为研究对象,其中实施常规护理的58例设为对照组,实施时效性激励护理的58例设为观察组。两组均干预至患者出院,比较两组干预前后负性情绪[焦虑自评量标(SAS)和抑郁自评量表(SDS)]、创伤后成长[创伤后成长量表(PTGI)]、治疗依从性、神经功能情况[美国国立卫生院神经功能缺损评分表(NIHSS)]及主观幸福感[总体幸福感量表(GWB)]。结果:干预后,两组SAS及SDS评分均下降(P<0.05),且观察组低于对照组(P<0.05);两组PTGI量表总分及各维度评分均上升(P<0.05),且观察组高于对照组(P<0.05)。观察组治疗依从性优良率为94.83%,高于对照组的82.76%(P<0.05)。干预后,两组NIHSS评分均下降(P<0.05),且观察组低于对照组(P<0.05);两组GWB量表总分及各维度评分均上升(P<0.05),且观察组高于对照组(P<0.05)。结论:时效性激励护理可改善脑梗塞患者负性情绪,提高其创伤后成长及治疗依从性,进而有效改善脑梗塞患者神经功能缺损症状,提升其主观幸福感。Objective:To explore the effect of timeliness incentive nursing on negative emotion,post-traumatic growth and neurological function recovery in patients with cerebral infarction.Methods:116 patients with cerebral infarction were selected as the subjects.According to the different nursing methods,they were divided into control group and observation group,58 cases in each group.The control group was given routine nursing of neurology,and the observation group was given timeliness incentive nursing on the basis of routine nursing.Both groups were intervened until the patients were discharged.The negative emotions[self-rating anxiety scale(SAS)and self-rating depression scale(SDS)],post-traumatic growth[post-traumatic growth inventory(PTGI)],treatment compliance,neurological function[National Institutes of Health Stroke Scale(NIHSS)]and subjective well-being[general well-being scale(GWB)]were compared between the two groups before and after intervention.Results:After intervention,the SAS and SDS scores of the two groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).The total score of PTGI scale and the scores of each dimension increased in both groups(P<0.05),and the observation group was higher than the control group(P<0.05).The excellent and good rate of treatment compliance in the observation group was 94.83%,which was higher than 82.76%in the control group(P<0.05).After intervention,the NIHSS scores of the two groups decreased(P<0.05),and the observation group was lower than the control group(P<0.05).The total score of GWB scale and the scores of each dimension increased in both groups(P<0.05),and the observation group was higher than the control group(P<0.05).Conclusion:Timely incentive nursing can improve the negative emotions of patients with cerebral infarction,improve their post-traumatic growth and treatment compliance,and then effectively improve the symptoms of neurological deficits in patients with cerebral infarction and enhance their subjective well-being.

关 键 词：脑梗塞 时效性激励护理 负性情绪 创伤后成长 神经功能 

分 类 号：R193[医药卫生—卫生事业管理]